Individual
DR. EDIN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(617) 355-8930
Mailing address
9 HOPE AVE, WALTHAM, MA 02453-2741
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
09/05/2014
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